Individual
HEATHER ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4400
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
21320325
MN
136A00000X
Registered Dietetic Technician
Primary
2330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21320325
DIABETES EDUCATORS
MN
01
—
2330
BOARD OF DIETETICS
MN
Enumeration date
05/14/2015
Last updated
12/03/2020
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